Epstein Secrets

) the client or related party have any financial or other association / interactions r yes F No G' '''' within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? ' H. Does the client or related party have any financial or other association/ interactions F within high risk countries? r Yes NO I.

requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Accountant Summarize Source of Wealth: 17 Business Owner F Salary/Eamings F Investment F Inheritance/Gifts r- Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. Fo

y) Does the client or related party have any financial or other association / interactions r-- yes F No G' wlthn countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? ' H' the client or related party have any financial or other association/ interactions " withal high risk counties? F yes r; No I. Cor

ls (Only for pantie requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Private investments 17 Business Owner F Salary/Eamings F Investment F Inheritance/Gifts Summarize Source of Wealth: r- Other: Further Describe Source of Wealth /Detail the history of wealth for

diately) Does the client or related party have any financial or other association / interactions r F G' within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? Yes No H. Does the client or related party have any finandal or other assoclabon/ interactions within high risk countries? r Yes F No I.

source of wealth description as indicated in Section 2) Nature of the Individual's Business: Private investments Summarize Source of Wealth: 17 Business Owner F Salary/Eamings F Investment F Inheritance/Gifts r- Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. Fo

tely) Does the client or related party have any financial or other association / interactions r•-• F G' within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? ' yes No „. Does the client or related party have any financial or other association/ interactions r yes F No " within high risk counti

ils (Only for parte requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Private investments 17 Business Owner F Salary/Eamings F Investment F Innentance/Gifts Summarize Source of Wealth: r- Other: Further Describe Source of Wealth /Detail the history of wealth for e